| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
310 |
292 |
$27K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
446 |
401 |
$26K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
213 |
210 |
$16K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
60 |
60 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
152 |
149 |
$2K |
| 90670 |
|
159 |
154 |
$2K |
| 90723 |
|
146 |
142 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
89 |
45 |
$1K |
| 90647 |
|
89 |
85 |
$1K |
| 90681 |
|
73 |
72 |
$955.10 |
| 85018 |
|
159 |
159 |
$437.54 |
| 90686 |
|
14 |
14 |
$167.92 |